Organization Active NPI

Well Care Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
National Provider Identifier
1528225752
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELL CARE MEDICAL SUPPLY INC.
Practice address
127 S Brand Blvd
Ste 100C
Glendale, CA 91204-1357
Phone
(818) 381-3565
Fax
(818) 241-0776
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Margarita Avedissian
Title
Presidissian
Phone
(818) 381-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

127 S Brand Blvd
Ste 100C
Glendale, CA 91204-1357

Mailing address

127 S Brand Blvd Ste 100C
Glendale, CA 91204-1357
Phone (818) 381-3565

National Provider Directory

National Provider Directory

Locations

127 S Brand Blvd
Ste 100C
Glendale, CA 91204
Phone (818) 381-3565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1528225752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD STE 100C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041357",
            "telephone_number": "818-381-3565",
            "fax_number": "818-241-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD",
            "address_2": "STE 100C",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041357",
            "telephone_number": "818-381-3565",
            "fax_number": "818-241-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CARE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "AVEDISSIAN",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "PRESIDISSIAN",
        "authorized_official_telephone_number": "818-381-3565"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.